Organization
EAR SPECIALTY GROUP OF CONNECTICUT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HANNAH ROSTRON AUD (DIRECTOR OF OPERATIONS)
(860) 640-4455
Entity
Organization
Contact information
Practice address
40 STANFORD DR, FARMINGTON, CT 06032-2454
(860) 640-4455
(860) 640-4478
Mailing address
40 STANFORD DR, FARMINGTON, CT 06032-2454
(860) 640-4455
(860) 640-4478
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
09/05/2018
Last updated
11/02/2023
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